title: Lessons learned from a colocation model using psychiatrists in urban primary care settings.
abstract: OBJECTIVE
  Comorbid psychiatric illness has been identified as a major driver of health care costs. The colocation of psychiatrists in primary care practices has been proposed as a model to improve mental health and medical care as well as a model to reduce health care costs.
  
  
  METHODS
  Financial models were developed to determine the sustainability of colocation.
  
  
  RESULTS
  We found that the population studied had substantial psychiatric and medical burdens, and multiple practice logistical issues were identified.
  
  
  CONCLUSIONS
  The providers found the experience highly rewarding and colocation was financially sustainable under certain conditions. The colocation model was effective in identifying and treating psychiatric comorbidities.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center, Bronx, NY 10467, USA. mweiss@montefiore.org
authors.forename: Meredith
authors.initials: M
authors.lastname: Weiss
authors.forename: Bruce J
authors.initials: BJ
authors.lastname: Schwartz
mesh_terms: D015897:Comorbidity; D003363:Cost Control / Q000379:methods; D019033:Delivery of Health Care, Integrated / Q000191:economics* / Q000458:organization & administration; D005260:Female; D017048:Health Care Costs / Q000592:standards / Q000639:trends; D018166:Health Care Reform / Q000191:economics / Q000592:standards; D006801:Humans; D008297:Male; D008484:Medicaid / Q000191:economics* / Q000331:legislation & jurisprudence / Q000639:trends; D028642:Persons with Psychiatric Disorders / Q000706:statistics & numerical data*; D008875:Middle Aged; D054525:Minority Health / Q000191:economics / Q000706:statistics & numerical data; D009519:New York City; D019982:Organizational Case Studies; D010044:Outpatient Clinics, Hospital / Q000191:economics* / Q000458:organization & administration; D011204:Poverty Areas; D011320:Primary Health Care / Q000191:economics* / Q000458:organization & administration; D011570:Psychiatry / Q000191:economics* / Q000639:trends; D014481:United States; D019037:Urban Health Services / Q000191:economics / Q000458:organization & administration; D000078329:Workforce
keywords: community health; disease management; managed care; prevention; primary care